Private Lesson Form Summer 2024
Private small group or individual lessons can be done at your home, local pool or at one of our facilities. 
  • June 24-28:
    • Time slots available from 9:00 am to 8:00 pm
  • June 29-July 3: 
    • Time slots available from 9:00 am to 8:00 pm
  • July 22-26:
    • Time slots available from 9:00 am to 8:00 pm
*Price for private small group lessons will be $135.00 for five one hour lessons
*Price for private individual lessons will be $200.00 for five one hour lessons

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Email *
Participant Name *
If taking with a private group please list the other students in your group. 
Participants Age *
Participants Level *
Required
Preferred Week *
Preferred Time: *
Required
Location Preference: Please list the address of the location where you would like to have your private lessons if at a personal residence or community pool. If you need me to secure a location please indicate that as well.  *
Parent/Guardian Name *
Parent/Guardian Cell Number *
Emergency Contact Name and Number *
Are there any health issues the instructor needs to know about?
Payment for lessons must be received before or on the first day of class. I accept venmo (@Erica-Jones-500), cash, or check.  
A copy of your responses will be emailed to the address you provided.
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